Organization
MAIN STREET CLINIC LLC
Active
Other names
Main Street Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
HEIDY BRILLHART APRN (OWNER)
(806) 236-6840
Entity
Organization
Contact information
Practice address
450 MORTON STREET, ELKHART, KS 67950
(620) 518-3139
Mailing address
PO BOX 986, ELKHART, KS 67950-0986
(620) 518-3139
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/13/2024
Last updated
08/27/2025
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